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DR. KELSEY MICHAEL HOPKINS M.D.
NPI 1508012527
Family Medicine in Greenville, IL

Active since August 11, 2008PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
1000 RED BALL TRL, GREENVILLE, IL 62246(618) 664-1240(618) 690-2189 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kelsey Michael Hopkins M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELSEY MICHAEL HOPKINS M.D. (NPI 1508012527) is an individual family medicine provider in Greenville, Illinois, licensed in Illinois (036126037) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Hshs Holy Family Hospital Inc, and is a graduate of Warren Alpert Medical School Of Brown University (2023).

NPPES Registry Identity

NPI1508012527
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELSEY MICHAEL HOPKINSCredential: M.D.
Location Address1000 RED BALL TRLGreenville, IL 62246-2781
Mailing Address1207 Network Centre Dr Ste 3Effingham, IL 62401-4632 · (217) 347-2707 · Fax (217) 347-2827
Phone(618) 664-1240
Fax(618) 690-2189
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2023
Enumeration DateAugust 11, 2008
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1508012527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036126037
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 RED BALL TRL, Greenville, IL 62246
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelsey Michael Hopkins M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608928270
PECOS Enrollment IDI20101104000319
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Hopkins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sarah Bush Lincoln Health Center
17 mi
Critical Access
650 W TAYLOR ST
Vandalia, IL 62471
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1306959689 (Illinois)
  • 121 clinicians in this Medicare group
NPI 1912988734 (618) 283-1232

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
22 services20 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140137
Location200 Health Care DrGreenville, IL 62246 · Bond County
Emergency services

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Hillsboro Area Hospital

Critical Access Hospitals · Hillsboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141332
Location1200 E Tremont StreetHillsboro, IL 62049 · Montgomery County
Emergency services

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62246 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers53 claims131 services$5.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims12 services$1.04 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers16 claims32 services$1.55 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$42.99 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$14.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers52 claims52 services$77.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREENVILLE FAMILY MEDICINE, LLC
Family Medicine
1000 RED BALL TRL
GREENVILLE, IL 62246
Bond County (618) 664-1240
GREENVILLE FAMILY MEDICINE, LLC
Clinic/Center (Rural Health)
1000 RED BALL TRL
GREENVILLE, IL 62246
Bond County (618) 664-1240
CALEB BENJAMIN MULHOLLAND
Physician Assistant
1000 RED BALL TRL
GREENVILLE, IL 62246
Bond County (618) 664-1240
DR. PHILIP EDWARD SIEFKEN M.D.
Pediatrics
1000 RED BALL TRL
GREENVILLE, IL 62246
Bond County (618) 664-1240
SARAH BUSH LINCOLN HEALTH CENTER
Clinic/Center (Rural Health)
1000 RED BALL TRL
GREENVILLE, IL 62246
Bond County (618) 664-1240
ANGELICA WEHRLE
Nurse Practitioner
1000 RED BALL TRL
GREENVILLE, IL 62246
Bond County (618) 664-1240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Hopkins's NPI number?

The NPI number for Kelsey Hopkins is 1508012527. It was assigned to this individual provider in the NPPES registry on August 11, 2008.

Where is Kelsey Hopkins located?

Kelsey Hopkins practices at 1000 Red Ball Trl, Greenville, IL 62246. The listed phone number is (618) 664-1240.

What is Kelsey Hopkins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelsey Hopkins enrolled in Medicare?

Yes. Kelsey Hopkins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelsey Hopkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Hopkins reassigns Medicare benefits to Sarah Bush Lincoln Health Center (Vandalia, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Hopkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Hopkins accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kelsey Hopkins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelsey Hopkins affiliated with any hospitals?

According to CMS data, Kelsey Hopkins is affiliated with Hshs Holy Family Hospital Inc, Sarah Bush Lincoln Health Center, Hillsboro Area Hospital, St Joseph's Hospital and Fayette County Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Hopkins was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.